1 The most common causes of anaphylaxis include drugs, such as penicillin, insect stings, foods (peanuts, shellfish), X-ray dye, and latex. 2  The symptoms of anaphylaxis may vary and can include hives, tongue swelling, vomiting, and even shock.
The maximum pharmaceutical dose that can be taken daily of regular tramadol is 400 mg (two 50 mg pills 4x a day). Read More. The maximum dose is 400mg a day, if your taking 50mg pills 4 would be 200mg, so your taking half the daily maximum.
16 Jun 2010. The dose of tramadol you are prescribed will depend on factors such as your age, how you respond to tramadol, and other medical conditions you may have. Generally, a healthcare provider will start you on a low dosage, such as 25 mg once daily in the morning.